| Kelly Chiropractic Center Of Wallace | |
|
112 Medical Village Dr, Suite A, Wallace, NC 28466-1668 | |
| (910) 285-9002 | |
| Not Available |
| Full Name | Kelly Chiropractic Center Of Wallace |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 112 Medical Village Dr, Wallace, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821286527 | NPI | - | NPPES |
| 890845C | Medicaid | NC | |
| 890841K | Medicaid | NC | |
| 0841K | Other | BLUE CROSS BLUE SHIELD | |
| 0845C | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2714 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Chiropractic Center Of Wallace Po Box 1917, Clinton, NC 28329-1917 Ph: (910) 285-9002 | Kelly Chiropractic Center Of Wallace 112 Medical Village Dr, Suite A, Wallace, NC 28466-1668 Ph: (910) 285-9002 |
Michael Francis Graybar Jr., DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 116 N Norwood St, Wallace, NC 28466 Phone: 910-285-7222 Fax: 910-285-7229 | |
Graybar Chiropractic, Inc. Chiropractor Medicare: Medicare Enrolled Practice Location: 116 N Norwood St, Wallace, NC 28466 Phone: 910-285-7222 Fax: 910-285-7229 | |
Tyler Hawke, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 116 N Norwood St, Wallace, NC 28466 Phone: 910-285-7222 | |
Maryann E. Luxeder, DC OF CHIROPRACTIC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 116 N Norwood St, Wallace, NC 28466 Phone: 910-285-7222 Fax: 910-285-7229 | |
Ryan Michael Graybar, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 116 N Norwood St, Wallace, NC 28466 Phone: 910-285-7222 | |
Dr. Glenn James Lundy, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 116 N Norwood St, Wallace, NC 28466 Phone: 910-285-7222 Fax: 910-285-7229 |